Healthcare Provider Details

I. General information

NPI: 1770784308
Provider Name (Legal Business Name): DUNN MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 25TH ST
BEDFORD IN
47421-5000
US

IV. Provider business mailing address

1620 25TH ST
BEDFORD IN
47421-5000
US

V. Phone/Fax

Practice location:
  • Phone: 812-279-6790
  • Fax: 812-279-6791
Mailing address:
  • Phone: 812-279-6790
  • Fax: 812-279-6791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MICHAEL W COOPER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 812-276-1210